I TAX Change of Address Form - Alabama Department of Revenue
ALABAMA DEPARTMENT OF REVENUE
6/2017
INDIVIDUAL INCOME TAX
Change of Address Form
Please complete all fields and return the completed form to the mailing address shown below. Forms submitted without a Social Security Number will not be processed.
Date: _______________________________________________________________________________________________________ Name: ______________________________________________________________________________________________________ Spouse's Name: ______________________________________________________________________________________________ Primary last four digits of Social Security Number: ____________________________________________________________________ Spouse's last four digits of Social Security Number: ___________________________________________________________________ Amount of current year Alabama refund or amount owed to Alabama: $___________________________________________________ Daytime Telephone Number: (________)___________________________________________________________________________
AREA CODE
Former Mailing Address: ________________________________________________________________________________________
ADDRESS
________________________________________________________________________________________
CITY
STATE
ZIP CODE
Date New Mailing Address in Effect: _______________________________________________________________________________
MONTH
DAY
YEAR
New Mailing Address: __________________________________________________________________________________________
ADDRESS
__________________________________________________________________________________________
CITY
STATE
ZIP CODE
___________________________________________________
SIGNATURE
_____________________________________________________
SPOUSE'S SIGNATURE (IF JOINT RETURN, BOTH MUST SIGN)
Mail to: Alabama Department of Revenue, I/C Tax Division POBox 327410
Montgomery, AL 36132-7410
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